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CHEMISTRY OF HEME
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Heme Chemistry
Gandham. Rajeev
Hemoglobin
Hemoglobin is red blood pigment, found in erythrocytes
It is a chromoprotein, containing heme as the prosthetic
group & globin as the protein part-apoprotein
Heme containing proteins are characteristic of aerobic
organisms
Normal levels
Adult male:14 to 16 gm%
Female:13 to 15 gm%
Hemoglobin is a tetrameric protein & molecular weight 64,450
Approximately 6.25 gm of Hb are produced & destroyed in
body each day
The basic protein “globin” varies from species to species in
its amino acid composition & sequence, and is responsible for
species-specificity
Polypeptide chains of globin of adult Hb, contain high
content of ‘histidine’ & ‘lysine’ & small amount of isoleucine
Functions of Hemoglobin
Delivery of O2 from lungs to the tissues
Transport of CO2 & protons from tissues to lungs for
excretion
Heme is present in Myoglobin, Cytochromes, Peroxidase,
Catalase, Tryptophan pyrrolase & Nitric oxide synthase
In cytochromes, oxidation & reduction of iron is essential
for their biological function in ETC
Structure of Globin
Globin consists of 4 polypeptide chains
Adult Hb is made up of 2α-chains & 2β-chains (α2 β2)
Each α -chain contains 141 AAs & β-chain contains 146 AAs.
HbA1, has a total of 574 amino acids
The four subunits of hemoglobin are held together by non-
covalent interactions - hydrophobic, ionic & hydrogen bonds.
Each subunit contains a heme group
Structure of Heme
Heme is a Fe-porphyrin compound
Porphyrins are cyclic compounds formed by fusion of 4
pyrrole rings linked by methenyl (=CH–) bridges
Since an atom of iron is present, heme is a
ferroprotoporphyrin.
The pyrrole rings are named as I, II, III, IV and the
bridges as alpha, beta, gamma and delta
Porphyrin ring
Heme contains a porphyrin molecule, protoporphyrin lX,
with iron at its center
Protoporphyrin lX consists of four pyrrole rings to which
four methyl, two propionyl & two vinyl groups are
attached
Structure of heme
Formation of Heme Pockets
Each polypeptide chain contains a ‘heme pocket’
Hb molecule & its sub-units contains hydrophobic amino
acids internally & hydrophilic amino acids on their surfaces
The heme pockets of α-subunits are of size, adequate for
entry of O2 molecule, but the entry of O2 into the heme-
pockets of β-subunits is blocked by valine.
Differences between α & β-chains of adult normal Hb
α-Subunit β-Subunit
Molecular weight 15126 15866
Total amino acids 141 146
C-terminal amino acid Arginine Histidine
N-terminal amino acid Val-Leu Val-His-Leu
α-Helices 7 8
Heme-pocket Adequate for entry of one molecule of O2
Entry of O2 in heme-pocket is blocked by valine
Other forms of Haemoglobin
Hb-A1:
Normal adult Hb, commonly called Hb-A, consists of 2 α -
& 2 β chains (α2β2)
It is approximately 90% of total haemoglobin
Hb-F:
It is a human foetal haemoglobin
Consisting of α2γ2
Differentiation of Hb-A from Hb-F
Hb-A Hb-F
Two α & two β chains Two α & two γ chains
Denatured by alkali Resistant to alkali denaturation
At pH 8.9 Hb-A moves ahead of Hb-F Hb-F moves behind Hb-A
2,3-BPG content is high 2,3-BPG content is low
Affinity of O2 is less Affinity to O2 is more
Delivery power of O2 more (unloading) Delivery power of O2 is decreased
Concentration at birth-Hb-A=85% 15%
Hb-F disappears by end of first year, persistence of Hb-F after one year is pathological
Hb-A2:
It is a minor component of normal adult Hb.
It contains two α & two δ-chains α2 δ2
It is approximately-2.5%
Electrophoretically, it is a slowly migrating fraction
Hb-A3:
It amounts for 3 to 10% of total haemoglobin
It is a fast moving fraction
Normal major types of haemoglobin
Type Composition % of total haemoglobin
HbA1 α2β2 90%
HbA2 α2 δ2 <5%
HbF α2γ2 <2%
HbA1c α2β2-glucose <5%
Hb-A1c (Glycosylated Hb):
It is formed by covalent binding of glucose to haemoglobin
Its normal range is 3 to 6%
Its levels are increased in diabetes mellitus
Chemistry:
The amino acid sequence of HbA1c is exactly same as that
of HbA1
The attachment of 1-amino 1-deoxy fructose to the –NH2
terminal of valine of β-chain of HbA1
Addition of sugar moiety to valine occurs non-enzymatically,
either by addition of glucose directly to the protein.
Diagnostic importance of HbA1c:
The rate of synthesis of HbA1c is directly related to the
exposure of RBC to glucose
The concentration of HbA1c serves as an indication of blood
glucose concentration over a period
HbA1c reflects the mean blood glucose level over 3 months
period prior to its measurement
In diabetes, HbA1c is elevated to as high as 15%
Determination of HbA1c is used for monitoring of diabetes
If the HbA1c concentration is <7%, the diabetic patient is
considered to be in good control
Myoglobin
Myoglobin (Mb) is monomeric O2 binding hemoprotein
Found in heart and skeletal muscle.
lt has single polypeptide (153 A.As) chain with heme moiety.
Myoglobin (mol. wt. 17,000) structurally resembles the
individual subunits of hemoglobin molecule
Myoglobin functions as a reservoir for oxygen.
It serves as oxygen carrier that promotes the transport of
oxygen to the rapidly respiring muscle cells
Binding of O2 to haemoglobin
One molecule of Hb can bind with four molecules of O2.
Myoglobin (with one heme) which can bind with only one
molecule of oxygen.
In other words, each heme moiety can bind with one O2.
Transport of O2 by haemoglobin
It can transport large quantities of oxygen
It can take up and release oxygen at appropriate partial
pressures
It is a powerful buffer.
Oxygen Dissociation Curve (ODC)
The binding ability of hemoglobin with oxygen at
physiological pO2 (partial pressure of oxygen) is shown
by the oxygen dissociation curve (ODC)
At the oxygen tension in the pulmonary alveoli, the Hb is
97% saturated with oxygen.
Oxygen dissociation curve (ODC)
Factors affecting oxygen dissociation curve
Heme-heme Interaction & Cooperativity:
The oxygen dissociation curve (ODC) is sigmoid shape.
The binding of O2 to one heme residue increases the affinity
of remaining heme residues for O2.
Thus the affinity of Hb for the last O2 is about 100 times
greater than the binding of the first O2 to Hb.
This is called positive cooperativity
Release of O2 from one heme facilitates the release of O2
from others.
The quaternary structure of oxy-Hb is described as R
(relaxed) form; & deoxy- Hb is T (tight) form.
2α +2β(Deoxy-Hb – T-form)
2α,β(Oxy-Hb – R-form)
T and R forms of hemoglobin
The four subunits (α2β2) of hemoglobin are held together
by weak forces.
The relative position of these subunits is different in
oxyhemoglobin compared to deoxyhemoglobin.
T-form of Hb:
The deoxy form of Hb exists in T or taut (tense) form.
The H & ionic bonds limit the movement of monomers.
The T-form of Hb has low oxygen affinity.
R-form of Hb
The binding of O2 destabilizes some of the hydrogen &
ionic bonds particularly between αβ dimers.
This results in a relaxed form or R-form of Hb
Therefore, the R-form has high oxygen affinity.
Transport of CO2 by hemoglobin
ln aerobic metabolism, for every molecule of O2 utilized,
one molecule of CO2 is liberated.
Hemoglobin actively participates in the transport of CO2
from the tissues to the lungs.
About 15% of CO2 carried in blood directly binds with Hb.
The rest of the tissue CO2 is transported as bicarbonate
(HCO3).
CO2 molecules are bound to the uncharged α-amino acids of
hemoglobin to form carbamyl hemoglobin.
The oxyHb can bind 0.15 moles CO2/mole heme, whereas
deoxyHb can bind 0.40 moles CO2/mole heme.
The binding of CO2 stabilizes the T (taut) form of hemoglobin
structure, resulting in decreased O2 affinity for Hb.
Hemoglobin also helps in the transport of CO2 as
bicarbonate
CO2 enters the blood from tissues, the enzyme carhonic
anhydrase present in erythrocytes catalyses the formation
of carbonic acid (H2CO3).
Bicarbonate (HCO3-) & proton (H+) are released on
dissociation of carbonic acid
Hb acts as a buffer & immediately binds with protons
Every 2 protons bound to Hb, 4 oxygen molecules are
released to the tissues.
In the lungs, binding of O2 to Hb results in the release of
protons.
The bicarbonate & protons combine to form carbonic acid.
Acted upon by carbonic anhydrase to release CO2, which is
exhaled
The Bohr Effect
The binding of O2 to hemoglobin decreases with increasing
H+ concentration (lower pH) or when the hemoglobin is
exposed to increased partial pressure of CO2 (pCO2).
This phenomenon is known as Bohr effect.
It is due to a change in the binding affinity of O2 to
hemoglobin
Bohr effect causes a shift in the oxygen dissociation curve to
the right
Bohr effect is primarily responsible for the release of O2
from the oxyhemoglobin to the tissue.
This is because of increased pCO2 & decreased pH in the
actively metabolizing cells
Binding of CO2 forces the release of O2.
When carbonic acid ionizes, the intracellular pH falls.
The affinity of Hb for O2 is decreased & O2 is unloaded to
the tissues.
CO2+H
2O H
2CO
3H
++HCO
3
Carbonic anhydrase
The Chloride Shift
When CO2 is taken up, the HCO3 ¯ concentration within the
cell increases.
This would diffuse out into the plasma.
Chloride ions from the plasma enter into cell to establish
electrical neutrality.
This is called chloride shift or Hamburger effect.
RBCs are slightly bulged due to the increased chloride ions
Chloride shift in tissues
When the blood reaches the lungs, the reverse reaction takes
place.
The deoxyhemoglobin liberates protons (H+).
These H+ combine with HCO3 – to form H2CO3.
H2CO3 dissociated to CO2 & H2O by the carbonic anhydrase.
The CO2 is expelled.
HCO3 – binds H+, more HCO3– from plasma enters the cell &
Cl– gets out (reversal of chloride shift)
Chloride shift in lungs
Effect of 2,3-BPG
2,3-Bisphosphoglycerate is the most abundant organic
phosphate in the erythrocyte.
The 2,3-BPG is produced from 1,3-BPG, an intermediate of
glycolytic pathway
This short pathway, referred to as Rapaport-Leubering cycle
The 2,3-BPG, binds to deoxy-Hb (and not to oxyhemoglobin)
& decreases the O2 affinity to Hb & stabilizes the T
conformation.
As oxygen is added, salt bridges are successively broken and finally 2,3-BPG is expelled. Simultaneously the T (taught) confirmation of deoxy-Hb is changed into R(relaxed) confirmation of oxy-Hb. Blue circle represents 2,3-bisphosphoglycerate (BPG)
When the T form reverts to the R conformation, the 2,3-BPG
is ejected.
The reduced affinity of O2 to Hb facilitates the release o f O2
at the partial pressure found in the tissues.
2,3-BPC shifts the oxygen dissociation curve to the right
The high oxygen affinity of fetal blood (HbF) is due to the
inability of gamma chains to bind 2,3-BPG.
Mechanism of action of 2,3-BPG
One molecule of 2,3-BPG binds with one molecule (tetramer)
of deoxyhemoglobin in the central cavity of the four
subunits.
This central pocket has positively charged (e.g. histidine,
lysine) two β-globin chains.
lonic bonds (salt bridges) are formed between the positively
charged amino acids (of β-globins) with the negatively
charged phosphate groups of 2,3-BPG
Binding of 2,3-BPG stabilizes the deoxygenated
hemoglobin (T-form) by crosslinking the β -chains
On oxygenation of hemoglobin, 2,3-BPG is expelled from
the pocket and the oxyhemoglobin attains the R-form of
structure
Clinical significance of 2,3-BPG
ln hypoxia:
The 2,3-BPG in erythrocytes is elevated in chronic hypoxic
conditions associated with difficulty in O2 supply.
These include adaptation to high altitude, obstructive
pulmonary emphysema
ln anemia:
2,3-BPC levels are increased in severe anemia in order to
cope up with the oxygen demands of the body.
This is an adaptation to supply as much O2 as possible to
the tissue, despite the low hemoglobin levels.
In blood transfusion:
Storage of blood in acid citrate-dextrose medium results
in the decreased concentration of 2,3-BPG.
Such blood when transfused fails to supply O2 to the
tissues immediately.
Addition of inosine (hypoxanthine-ribose) to the stored
blood prevents the decrease of 2,3-BPG.
The ribose moiety of inosine gets phosphorylated & enters
the hexose monophosphate pathway and finally gets
converted to 2.3-BPG
References
Text book of Biochemistry – U Satyanarayana
Text book of Biochemistry – DM Vasudevan
Text book of Biochemistry – MN Chatterjea
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